Case Manager RN
About the role
Department: Social Services. Facility: Resurrection Medical Center. Location: 7435 W Talcott Ave, Chicago, IL 60631. Schedule: Per Diem (as needed).
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
Required Qualifications
- Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
- At least one year experience in case management, discharge planning or nursing management
- Experience and knowledge in basic to intermediate computer skills
Preferred Qualifications
- Five years of acute care nursing experience
- CCM certification or obtained within 1 year
- Knowledge of Milliman Criteria and InterQual Criteria
- Current BCLS certificate
Benefits
The company offers a comprehensive, competitive benefits package that allows staff to customize benefits to fit their unique needs, including abundant resources, programs, and voluntary options for individual growth and well-being. Learn more: https://www.primehealthcare.com/benefitsthatmattermost/
Schedule
Per Diem (as needed)